Results of Transfer of the Pectoralis Major Tendon to Treat Paralysis of the Serratus Anterior Muscle*

Background: Paralysis of the serratus anterior muscle can be functionally disabling. As a result of the scapular winging associated with such paralysis, the scapula does not remain apposed to the thorax when the upper extremity is elevated forward at the shoulder. This produces functional disability associated with pain and loss of a stable base for movement of the upper extremity.Methods: We reviewed the results of transfer of the pectoralis...